新型“L”型夹板在下肢骨折患者院前急救转运中的应用研究

Application of New "L" Splint in Pre-hospital Emergency Transportation of Patients with Lower Limb Fractures

目的:探讨新型"L"型夹板在下肢骨折患者院前急救转运中的应用价值。方法:选取2017年1月-2018年6月院前急救转运入院且怀疑下肢骨折的60例患者,利用简单随机化分组法将其分成研究组和对照组,各30例。两组在采取有效的呼吸、循环基础生命支持措施后,给予对照组通用木制直型夹板包扎固定,给予研究组新型"L"型夹板固定。对比两组固定夹板用时、固定夹板过程患者翻身次数、疼痛程度评分、搬动过程夹板松脱以及患肢末梢血液循环情况。结果:研究组固定夹板捆绑时间、固定夹板过程患者翻身次数以及疼痛评分均优于对照组,比较差异均有统计学意义(P<0.05);研究组搬动过程夹板松脱及患肢末梢血液循环情况均优于照组,比较差异均有统计学意义(P<0.05)。结论:在急救转运下肢骨折患者,新型"L"型夹板可以提升救治效率,减轻患者疼痛,降低附加伤害,安全性高,值得进一步推广应用。

Objective:To explore the application value of new 'L' splint in pre-hospital emergency transport of lower limb fracture patients.Method:A total of patients with suspected lower limb fracture who were transferred to hospital for pre-hospital first aid from January 2017 to June 2018 were selected.Simple randomized grouping method was used to divide them into study group and control group,30 cases in each group.After taking effective life support measures of respiratory and circulatory basis,the control group was given conventional wooden straight splint bandage and fixation,and study group was given new 'L' splint fixation.The use time of fixed splint,the number of times of turning over,the pain score,the loosening of splint during moving and the blood circulation of the affected limbs between two groups were compared.Result:The use time of fixed splint,the number of times of turning over,the pain score in study group were better than those of control group,the differences were statistically significant(P<0.05).The loosening of splint during moving and the blood circulation of the affected limbs in study group were better than those of control group,the differences were statistically significant(P<0.05).Conclusion:In the first aid transfer of lower limb fracture patients,the new 'L' splint can improve the treatment efficiency,reduce pain,reduce additional injuries,and is safe.It is worth further popularization and application.